Dads dying wishes.

Dad has stage 4 metastatic prostate cancer, in bones and lungs. He has deteriorated very quickly over 4 weeks after breaking his affected femur, developing tachycardia, and low oxygen levels. A week after surgery on his leg, he was already extremely unwell and chose to move to a community hospital for palliative care, this is where he wanted to spend his final few weeks, days, or however he had left. He’s refused all treatment, or observations, and just has a syringe drive for pain medication and anti-sickness. Last week they decided they couldn’t keep him there, and that he would have to move to a nursing home or have nurse visits at home, because he is not close enough to dying.

He has not eaten for two weeks, and barely drinks a few sips each day, and today is barely responsive, just sleeping. He is unable to move from lying flat (this has been the case really since he was taken in to hospital). Why can’t he stay where he is? It will be so traumatic for him to be moved, if he is still conscious.

  • Hi Clomper and welcome to Cancer Chat.

    I'm very sorry to hear that your dad is in the latter stages of his cancer diagnosis and that the community hospital can no longer look after him despite this being what your dad wanted. This must be a very difficult time for you all.

    Unfortunately I can't answer your questions about this but if you give one of our cancer nurses a call tomorrow they may be able to shed some light on this and be able to offer some advice on what to do next. If you'd like to speak to them they're available on 0808 800 4040, Monday - Friday between 9a.m - 5p.m and they will do all they can to help.

    Hopefully some of our members who have been in a similar situation with their loved ones will share their experiences and advice with you soon as well.

    We're sending you all our support Clomper and really hope you're able to get some answers soon.

    Kind regards,

    Steph, Cancer Chat Moderator

  • Hi Chomper,

    A very warm welcome to our forum.

    I am sorry to hear of your dad's situation and appreciate your concerns. I know that it's a long shot, but is there a space available in a local hospice and would your dad be willing to accept this?  We did this with my father-im-law just 3 days before he died and it was a seamless move. He was much more comfortable there than in hospital and they had everything on hand to afford him a peaceful passing.

    I sincerely hope that he won't be too upset by the move. Please keep in touch and let us know how he gets on. We are always here for you.

    Kind regards.

    Jolamine xx

  • Thanks so much for your reply. How can we find out if there is space in a local hospice? We have a fantastic Sue Ryder hospice just down the road, but apparently there is a waiting list… How can you know you’re going to need palliative care to put yourself on a waiting list?!

    xx

  • Hi Clomper,

    I would expect that your hospital might know what availability is like. Our local hospital were able to arrange this for us when my father-in-law needed to go into a hospice. They arranged this within a matter of days. The other way would be to approach the hospice direct. None of us really know how long we'll need palliative care for, but hospices are used to this. Most hospices have a waiting list but they usually keep 1 or 2 places for urgent immediate care.

    I am quite surprised that the hospital want to discharge your dad, when he is on a syringe driver, hasn't eaten for 2 weeks, is drinking so little and is so poorly. Perhaps it is because he has refused treatment, so in their view he no longer needs medical care and the hospital needs a spare bed? Sometimes the emotional needs and wishes of the patient tend to be overlooked in these circumstances. Has the consultant told you or your dad what his prognosis is? I know that this is not always accurate, but it might give you a better chance of getting him into a hospice if his time is limited.

    I am so sorry that you are having to go through all of this. It is difficult enough going through end of life with a loved one, without having all this additional hassle.

    Please keep in touch and let us know how you get on.

    Kind regards,

    Jolamine xx